Individual provider · Type 1 NPI
Maryetta Dietz, CRNP
Adult Health Nurse Practitioner · Austin, TX
NPI number
1316957582
Active
Practice location
1600 W 38th St, Suite 308
Austin, TX 78731-6400
Fax (512) 324-3541
Mailing address
1400 N Ih 35, Suite 300
Austin, TX 78701-1926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 760224 (TX) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1316957582
Maryetta Dietz, CRNP's National Provider Identifier is 1316957582, issued on Aug 9, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Austin, TX. The record was last updated on Jan 3, 2013.